Individual
JANITA CHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
20987 39TH WAY S APT D305, DES MOINES, WA 98198-4342
(206) 823-8269
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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